Individual
LINDA K DEARDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7250 CLEARVISTA DR, SUITE 380, INDIANAPOLIS, IN 46256-5608
(317) 621-7250
(317) 621-7255
Mailing address
7250 CLEARVISTA DR, SUITE 380, INDIANAPOLIS, IN 46256-5608
(317) 621-7250
(317) 621-7255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001520A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200368640
—
IN
Enumeration date
09/15/2006
Last updated
05/06/2010
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